Active NPI
High Drive Adult Family Home
- Adult Care Home Facility
- Spokane, WA
National Provider Identifier
1124563697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- 752761
- Legal business name
- HIGH DRIVE ADULT FAMILY HOME
- Practice address
- 119 E High Dr
Spokane, WA 99203-2756 - Phone
- (774) 262-3858
- Fax
- (509) 747-2155
- NPI assigned
- Dec 19, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lucia Ngatia
- Title
- Provider
- Phone
- (774) 262-3858
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 752761 | WA | Primary |
Addresses
Primary practice location
119 E High Dr
Spokane, WA 99203-2756
Mailing address
119 E High Dr
Spokane, WA 99203-2756
Phone (509) 263-5851
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1482105600000",
"number": "1124563697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 E HIGH DR",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992032756",
"telephone_number": "509-263-5851",
"fax_number": "509-747-2155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 E HIGH DR",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992032756",
"telephone_number": "774-262-3858",
"fax_number": "509-747-2155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGH DRIVE ADULT FAMILY HOME",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-19",
"last_updated": "2016-12-19",
"status": "A",
"authorized_official_last_name": "NGATIA",
"authorized_official_first_name": "LUCIA",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "774-262-3858"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "WA",
"license": "752761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.